Individual provider Active NPI

Mahsa Mirazimy, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1003369646
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009339 Issued in IL
Practice address
333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000
Phone
(847) 609-1475
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009339 IL Primary

Addresses

Primary practice location

333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000

Mailing address

333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000
Phone (847) 609-1475

Other practice location 1

405 N Wabash Ave
2511
Chicago, IL 60611-3591
Phone (876) 980-6754

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.discoverpsych.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Psychological Services Clinical CurrentSince Jan 31, 2021 Accepting new patients

Locations

333 N Michigan Ave
Ste 1530
Chicago, IL 60601
Phone (847) 337-4062

333 N Michigan Ave
Ste 1120
Chicago, IL 60601
Phone (312) 576-5760

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1003369646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014000",
            "telephone_number": "847-609-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014000",
            "telephone_number": "847-609-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Wabash Ave",
            "address_2": "2511",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113591",
            "country_code": "US",
            "telephone_number": "876-980-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRAZIMY",
        "first_name": "MAHSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.discoverpsych.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "333 N Michigan Ave Ste 1530",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606014000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.